AGENDA
7:30        Coffee/Continental breakfast

8:00        Class Briefing/ Check in  

8:30        Welcome             
             Mary Vallier-Kaplan ('07), MHSA,  Vice President/Chief Operating Officer,  Endowment for Health
             Linda Patchett ('04), Director, Regional Primary Care Performance and Systems, DMHC
             Steve LeBlanc (LNH '03), Chief Operating Officer, DHMC

8:45       Setting the Stage/ Goals for the day:   Kevin Stone, Consultant, Helms and Co.
             Defining the terms and Framing the issues - The Language & The Frame of Health

10:00     Medical Care:   H. Gilbert Welch, M.D., M.P.H ., Prof. of Medicine, Dartmouth Institute for Health, Policy and Clinical 
             Practice, Dartmouth Medical School 

11:00     NH's Public Health System:  Past, Present and Future 
             Lisa Bujno –Bureau Chief , Bureau of Community Health Services, DHHS
             Lea Lafave, RN, PhD, Sr. Project Director, Community Health Institute
             Timothy M. Soucy ('05), MPH, REHS, Public Health Director, City of Manchester

12:00     Tours
             Patient Safety Training Center  
             Hyperbaric Chamber:   Jay Clark Buckley, M.D., Undersea and Hyperbaric Medicine

1:00       LUNCH

1:45       Health Care in the United States: Two Perspectives –A Collision of Mission and Money
             James W. Squires, M.D., President, Endowment for Health
             Douglas  Wenners , President and General Manager, Anthem Blue Cross and Blue Shield
             Moderator:   Jon Greenberg ('03), Senior Editor,  NH Public Radio

3:00       Health Reform in the US and in NH: A real time update:  Ned Helms, Principal, Helms & Co. 

4:15       Class Debrief/Checkout

4:45       Wrap-up

5:00       Adjourn

DIRECTIONS AND PARKING INFORMATION
Note:   Please allow at least an extra 15 minutes to park, catch the shuttle and then walk to Auditorium G

Dartmouth-Hitchcock Medical Center
1 Medical Center Drive
Lebanon, NH 03756-0001
Videoconference Services
Raymond P. Kulig, Manager
603-653-1336
FAX 603-653-1335

Driving Directions to DHMC:From the North or South:I-91 to exit 10S (Airport-New Hampshire). Merge onto I-89 south and follow to Exit 18. Turn left at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC (La Hay Drive will take you to the medical center "loop road).From the West:Route 4 to I-89 south to Exit 18. Turn left at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).From the Southeast:I-89 north to Exit 18. Turn right at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" From the Southeast:I-89 north to Exit 18. Turn right at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" From the West:Route 4 to I-89 south to Exit 18. Turn left at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).From the Southeast:I-89 north to Exit 18. Turn right at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" From the Southeast:I-89 north to Exit 18. Turn right at the end of the ramp onto Route 120. Once you're on Route 120 follow the blue and white signs approximately three miles to DHMC. (La Hay Drive will take you to the medical center "loop road).Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
******************************************************************************************************************************************************************************************
LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care" Parking Be sure to park in PARKING LOT 9 -  you will then take the shuttle to the Cancer Center.  Once at the Cancer Center, proceed to AUDITORIUM G.
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LNH ACTION ASSIGNMENT
HEALTH
November 12, 2009
Dartmouth Hitchcock Medical Center — Lebanon, NH

Please complete the following assignment before the program day:

Action: 1. Visit a health center near you!  Please see the SERVICE CENTER MAP for centers in your area (PROVIDED).  These 11 Community Health Centers serve the populations in NH which usually have barriers to obtaining health care.  Learn what they do and who they serve. You will be assigned to the center that provides services in your area.  One person from your group will coordinate the group's visit with: Polly Runnels, Public Policy Administrative Assistant, Bi-State Primary Care Association: prunnels@bistatepca.org or 228-2830 X 41.  (See the Readings section – the article on the Community Health Centers might be helpful before your visit.)

2. "Public Health is what we, as a society, do collectively to ensure the conditions in which people can be healthy." - Institute of Medicine      

What are the conditions in your town that protect and promote health?  What risk factors are present around you that make a healthy lifestyle more difficult?  With your action assignment, you will develop some answers to these questions. You will be doing a "windshield survey."  This informal research method involves making observations while driving around; literally looking through the windshield of your car.  Of course, it is hard to take notes while driving so please enlist a partner to drive so that you are free to look and take notes. Begin by choosing an area of your town that is at least 10 square blocks.  In true New England fashion, most towns are not laid out as square blocks so this is just to give you an idea of the size of the area to survey.  Now, have your partner drive you around and through the area. Basically, you want to observe everything in your chosen area that is accessible by car.  As you ride, make notes of the health-promoting factors you see as well as the conditions which could threaten the health of people in your town.  For many people the chart that is enclosed will make your note-taking easier but you can use whatever format works for you.

Here are a few examples to get you started: Health protecting and promoting factors:  sidewalks; playgrounds and parks; a water treatment plant; organic foods advertised for sale on the supermarket marquis; the library.  You can think broadly about health as long as you can support why you think something you've noted contributes to conditions in which people can healthily exist.

Health risk factors:  cigarette and beer ads, especially close to schools; lack of safe space in which to ride a bike; "supersize" meals promoted at a fast food restaurant; excessive trash in a park; abandoned buildings.  Again, think broadly about threats to human health and why you perceive them as threats.

Plan to spend about an hour driving around.  When you finish your survey, summarize your notes so that you will be able to present them succinctly:
    
               What are your main findings?
               What surprised you?
               Overall, do the conditions in your town help ensure that people can be healthy?
               Are there any findings that make you want to take on a leadership role for the health of your town?

Readings:

1.  Go the Department of Health and Human Services to read: "Working Together to Assure a Healthy Public" which is a comprehensive document that provides information on the health status of the residents of New Hampshire.  Copy the following link into your web browser:  http://www.dhhs.nh.gov/DHHS/DPHS/LIBRARY/Data-Statistical+Report/healthypublic.htm   

Also read "Financial Condition of 8 Community Health Centers" which is also on the Department's website:
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm

2.  New Hampshire's Healthcare Dashboard (2009) New Hampshire Center for Public Policy Studies  (PROVIDED)

3. Manchester's Health Care Safety Net "Intact but Endangered", spring 2007, by Dorothy Bazos and Anna Thomas (PROVIDED) 4. Go to the NH Citizens Health Initiative – NH Health Care Town Hall Blog and read the latest blogs. AND be sure to read the one by Paul Spiess "An Outsider's View of What is Wrong in American Health Care"